TRC - FOUR CORNERS DIALYSIS CLINICS LLC is an end-stage renal disease (esrd) treatment clinic center in Polacca, AZ. TRC - FOUR CORNERS DIALYSIS CLINICS LLC NPI is 1700842432. The provider is registered as an organization entity type.
The provider Is Doing Business As Hopi Dialysis Center.
The provider's business location address is:
HWY 264
MILE MARKER 388
POLACCA, AZ
ZIP 86042-964
Phone: (928) 737-5490
Fax: (928) 737-5497
The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 03D0990956 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/21/2006 and was last updated on 7/20/2023.